Sousa Célia, Marchiori Edson, Youssef Ali, Mohammed Tan-Lucien, Patel Pratik, Irion Klaus, Pasini Romulo, Mançano Alexandre, Souza Arthur, Pasqualotto Alessandro C, Hochhegger Bruno
Radiology Department, Centro Hospitalar Universitário de São João, 4200-319 Porto, Portugal.
Radiology Department, Universidade Federal de Rio de Janeiro, Rio de Janeiro 21941-901, Brazil.
J Fungi (Basel). 2022 Oct 27;8(11):1132. doi: 10.3390/jof8111132.
Endemic fungal infections are responsible for high rates of morbidity and mortality in certain regions of the world. The diagnosis and management remain a challenge, and the reason could be explained by the lack of disease awareness, variability of symptoms, and insidious and often overlooked clinical presentation. Imaging findings are nonspecific and frequently misinterpreted as other more common infectious or malignant diseases. Patient demographics and clinical and travel history are important clues that may lead to a proper diagnosis. The purpose of this paper is to review the presentation and differential diagnosis of endemic mycoses based on the most common chest imaging findings.
地方性真菌感染在世界某些地区导致了高发病率和死亡率。其诊断和管理仍然是一项挑战,原因可能是疾病认知不足、症状多变以及隐匿且常被忽视的临床表现。影像学表现不具有特异性,常常被误诊为其他更常见的感染性或恶性疾病。患者的人口统计学特征、临床病史和旅行史是可能有助于做出正确诊断的重要线索。本文旨在基于最常见的胸部影像学表现,综述地方性真菌病的临床表现及鉴别诊断。